| Aurora Optometric Group, P.c. | |
|
980 West Maple Court, Elma, NY 14059-9530 | |
| (716) 652-0870 | |
| (716) 652-2071 |
| Full Name | Aurora Optometric Group, P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 980 West Maple Court, Elma, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629114921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T4730 (New York) | Primary |
| Provider Name | Amy E Suda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588618326 PECOS PAC ID: 8426079351 Enrollment ID: I20051207000748 |
| Provider Name | Keith F Del Prince |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881635548 PECOS PAC ID: 1355487919 Enrollment ID: I20110204000164 |
| Provider Name | Shawn R Clancy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023051562 PECOS PAC ID: 5890831457 Enrollment ID: I20110204000232 |
| Provider Name | Patricia M Miller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841233327 PECOS PAC ID: 6406979483 Enrollment ID: I20110204000402 |
| Provider Name | Lindsay A Wittman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710291422 PECOS PAC ID: 3577734482 Enrollment ID: I20110927000102 |
| Provider Name | Katie Lynn Delprince |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053751560 PECOS PAC ID: 3870734650 Enrollment ID: I20130719000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Optometric Group, P.c. 980 W Maple Ct, Elma, NY 14059-9397 Ph: (716) 652-0870 | Aurora Optometric Group, P.c. 980 West Maple Court, Elma, NY 14059-9530 Ph: (716) 652-0870 |
Mr. Shawn Clancy, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 980 West Maple Court, Elma, NY 14059 Phone: 716-652-0870 Fax: 716-652-2071 | |
Elma Village Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2355 Bowen Road, Elma, NY 14059 Phone: 716-652-1776 Fax: 716-652-1776 | |
Dr. Katie Lynn Delprince, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 980 W Maple Court, Elma, NY 14059 Phone: 716-652-0870 Fax: 716-652-2071 | |
Richard O'connor, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 980 West Maple Court, Elma, NY 14059 Phone: 716-652-0870 Fax: 716-652-2071 | |
Amy Suda, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 980 West Maple Court, Elma, NY 14059 Phone: 716-652-0870 Fax: 716-652-2071 | |
Patricia Miller, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 980 West Maple Court, Elma, NY 14059 Phone: 716-652-0870 Fax: 716-652-2071 |